- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,886.30 / $39,784.10 / $48,038.40
| Facility | | $20,886.30 | $39,784.10 | $48,038.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $35,924.35 / $61,664.56
| Facility | | $6,916.00 | $35,924.35 | $61,664.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,038.78 / $32,825.10 / $38,467.68
| Facility | | $28,038.78 | $32,825.10 | $38,467.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,328.00 / $28,171.59 / $37,183.12
| Facility | | $18,328.00 | $28,171.59 | $37,183.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,102.85 / $35,458.11 / $54,712.20
| Facility | | $21,102.85 | $35,458.11 | $54,712.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,455.27 / $31,586.09 / $41,229.62
| Facility | | $23,455.27 | $31,586.09 | $41,229.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $32,756.32 / $47,186.22
| Facility | | $3,775.00 | $32,756.32 | $47,186.22 |